July 3, 2014 Valerie Harr Director, Division of Medical Assistance and Health Services NJ Department of Human Services 7 Quakerbridge Plaza PO Box 712 Trenton, NJ 08625 Dear Director Harr, The Camden Coalition of Healthcare Providers (CCHP) is pleased to submit the enclosed application for certification as a New Jersey Medicaid Accountable Care Organization (ACO), pursuant to N.J.S.A. 30:4D-8.1 et seq. We believe the certification of CCHP’s Medicaid ACO will represent an important step forward in improving the quality, capacity and efficiency of the healthcare system in Camden, New Jersey. We look forward to your review of our application. Should you have any questions, we are available at the phone number and address below to discuss them with you. Sincerely, Jeffrey Brenner, MD Executive Director Camden Coalition of Healthcare Providers 800 Cooper St, 7th Floor Camden, NJ 08102 (609) 876-9549 [email protected] Encl. 800 Cooper Street, 7th Floor s Camden, NJ 08102 (856) 365-9510 - phone (856) 365-9520 – fax www.camdenhealth.org MEDICAID'ACO'DEMONSTRATION'PROJECT' CERTIFICATION'APPLICATION' ! Applicant'Information' ! Applicant'Name:'Camden!Coalition!of!Healthcare!Providers! ! Address:'800!Cooper!St.,!7th!Floor!Camden,!NJ!08102! ! Phone:'(856)!365K9510! ! Primary'Applicant'Contact:'Jeffrey!Brenner,!Executive!Director! ! Proposed'Coverage'Area:!City!of!Camden,!New!Jersey!(zip!codes!08101,!08102,! 08103,!08104,!08105)! ! Website:'www.camdenhealth.org! ! Date'of'Incorporation:'! July!27,!2006! ! Number'of'Full! Gtime'Staff:'49! ! Annual'Budget:'Approx.!$6.1!million! I. Introduction! The!Camden!Coalition!of!Healthcare!Providers!(CCHP)!seeks!to!be!certified!as!a! Medicaid!ACO!so!that!it!may!participate!in!the!New!Jersey!Medicaid!ACO!Demonstration! Project!(N.J.S.A.!30:4DK8.1!et!seq.).!!! CCHP!is!a!New!Jersey!nonprofit,!membership!corporation!dedicated!to!improving! the!quality!and!accessibility!of!health!care!in!Camden,!New!Jersey,!while!lowering!the!cost! of!health!care!to!patients!and!the!public.!Over!the!course!of!a!decade,!CCHP!has!developed!a! broad!membership!base!that!includes!Camden!hospitals,!local!primary!care!offices,! community!organizing!groups,!and!the!full!spectrum!of!social!and!behavioral!health!service! providers.!These!longstanding!relationships!have!resulted!in!a!high!level!of!trust!among! members,!many!of!which!have!collaborated!to!devise!and!implement!programs!serving! Camden!residents!and!providers.!CCHP!seeks!to!participate!in!the!New!Jersey!Medicaid! ACO!Demonstration!Project!so!that!Camden’s!healthcare!providers!can!be!collectively! ! Camden'Coalition'of'Healthcare'Providers' Medicaid'ACO'Demonstration'ProJect'Certification'Application' ' accountable!for!improving!the!quality!and!reducing!the!cost!of!care!for!Camden’s!Medicaid! beneficiaries.!CCHP!expects!to!use!its!existing!governance!structures,!including!its!Board! and!committees,!to!execute!the!required!ACO!functions.!!! II. Organizational!Overview! CCHP!began!twelve!years!ago!as!an!informal!network!of!providers!that!developed! healthcare!solutions!across!traditional!provider!boundaries.!In!the!last!several!years,!CCHP! has!grown!to!become!a!nationally!reputed!organization!influencing!domestic!healthcare! reform!on!a!large!scale.!It!now!employs!a!fullKtime!staff!of!49!plus!an!additional!10! AmeriCorps!members!and!includes!the!administrative!and!clinical!infrastructure!to! support!operations!of!a!citywide!ACO.!! CCHP!has!an!annual!budget!of!approximately!$6.1!million,!which!includes!private! grant!funding!from!more!than!twenty!foundations!as!well!as!a!threeKyear,!$2.78!million! Innovation!Award!from!the!Center!for!Medicare!&!Medicaid!Services!(CMS).!CCHP!also! supports!itself!with!revenue!from!the!HIE!and!its!Cross!Site!Learning!program,!as!well!as!a! care!coordination!and!shared!savings!contract!with!UnitedHealthcare.! CCHP!has!implemented!numerous!programs!designed!to!further!its!mission!of! increasing!the!quality,!capacity,!and!accessibility!of!health!care!in!Camden,!including:!1)! Care!Management!Initiatives!(CMI)!that!provides!care!coordination!for!complex!patients,!2)! Clinical!Redesign!that!provides!technical!assistance!to!improve!the!efficiency!and!capacity! of!primary!care!providers!(PCPs)!to!care!for!complex!patients;!3)!the!Camden!Health! Information!Exchange!(HIE),!a!webKbased!technology!that!allows!providers!in!Camden!to! access!detailed!clinical!data!about!their!patients!at!the!point!of!care!and!provides!realKtime! notification!to!primary!care!providers!when!patients!are!hospitalized!or!treated!in!an! 2! ! Camden'Coalition'of'Healthcare'Providers' Medicaid'ACO'Demonstration'ProJect'Certification'Application' ' emergency!department.!CCHP!invests!significant!resources!in!data,!research,!evaluation,! and!performance!improvement!capacity!to!capture,!analyze,!and!disseminate!data!for!use! in!research,!planning,!and!performance!improvement!of!clinical!care.!CCHP!also!operates! Cross!Site!Learning,!which!provides!technical!assistance!to!fifteen!sites!nationally!that!are! developing!superKutilizer!interventions,!and!an!advocacy!program!that!promotes!public! policy!efforts!to!address!systemic!issues!impacting!Medicaid!patients,!including! transportation,!housing,!behavioral!health,!and!access!to!comprehensive!data.! CCHP’s!stable!funding!sources,!established!coalition!of!healthcare!organizations,!and! robust!healthcare!transformation!programs!make!CCHP!well!prepared!to!begin!operating! as!a!Medicaid!ACO.! III. NonKProfit!Status! CCHP!is!a!nonprofit!corporation!formed!in!2006!under!the!laws!of!the!State!of!New! Jersey!and!has!501(c)(3)!federal!nonprofit!tax!status!(Exhibits!1!and!2).!Historically,!the! Cooper!Health!System!and!its!charitable!affiliate,!the!Cooper!Foundation!(collectively! “Cooper”)!served!as!CCHP’s!fiscal!sponsor!and!provided!CCHP!with!grants!management,! financial!administration,!and!human!resources.!In!July!2013,!CCHP!began!independent! grants!management!and!financial!administration.!In!July!2014,!CCHP!assumed! responsibility!for!all!of!its!human!resources.! IV. Designated!Area! The!CCHP!ACO!will!serve!the!City!of!Camden,!New!Jersey.!The!City!comprises!the! following!five!zip!codes:!08101,!08102,!08103,!08104,!and!08105.!Approximately!35,178! Medicaid!beneficiaries!reside!in!this!designated!area.!! ! 3! ! Camden'Coalition'of'Healthcare'Providers' Medicaid'ACO'Demonstration'ProJect'Certification'Application' ' V. CCHP!Board!Composition! The!CCHP!ACO!will!be!governed!by!a!board!that!represents!the!full!spectrum!of! healthcare!providers!and!consumers!in!Camden.!The!CCHP!Board!includes!the!following! member!groups:! • Hospitals:!six!seats!(each!of!three!city!hospitals!selects!one!administrator! and!one!provider),! • Primary'care'providers:!up!to!eight!seats,!! • Behavioral'health'/'social'service'(“partnering”)'organizations:!at!least! four!seats,!and!! • Resident'organizations:!at!least!two!seats.!!! Board!representatives!are!selected!by!each!member!group!as!described!in!Article!IV!of!the! CCHP!Bylaws!(Exhibit!3).!All!board!representatives!serve!in!an!organizational!capacity,! meaning!they!represent!their!employing/affiliated!organizations,!not!themselves.!The! board!includes!representation!of!primary!care!and!specialty!physicians.!A!chart!of!the! current!CCHP!board!membership!is!attached!as!Exhibit!4.! As!required!by!N.J.S.A.!30:4DK8.4(2)(b),!the!CCHP!Board!includes!two!consumer! organizations!capable!of!advocating!with!and!on!behalf!of!patients:!1)!AARP,!a!nonprofit,! nonpartisan!membership!organization!for!people!age!50!and!over,!and!2)!Camden! Churches!Organized!for!People!(CCOP),!a!faithKbased!community!organizing!entity.! AARPKNew!Jersey!has!two!local!chapters,!in!Collingswood!and!Pennsauken,!with! approximately!2,500!members!in!Camden.!These!chapters!provide!members!with!a!variety! of!education,!advocacy,!and!leadership!opportunities.!The!AARP!Bylaws!and!list!of!Board! members!is!attached!as!Exhibit!5.! CCOP!empowers!Camden!residents!to!identify!and!address!common!concerns! through!community!organizing.!CCOP!satisfies!the!additional!requirements!of!N.J.S.A.! 4! ! Camden'Coalition'of'Healthcare'Providers' Medicaid'ACO'Demonstration'ProJect'Certification'Application' ' 30:4DK8.4(2)(b):!extensive!leadership!involvement!by!Camden!residents,!physical!location! in!Camden,!and!a!Camden!resident!serves!as!its!voting!representative!on!CCHP’s!Board.!! CCOP’s!Constitution,!board!membership,!and!organizational!chart!are!attached!as!Exhibit!6.!! VI. CCHP!Governance! CCHP!is!governed!by!a!Board!of!Directors!(“Board”)!and!managed!by!an!Executive! Director.!The!CCHP!Board!meets!quarterly!and!is!responsible!for!providing!oversight!and! strategic!direction!for!CCHP.!The!Board!is!served!by!six!standing!committees:!Executive,! HIE,!Quality,!Finance,!Strategic!Planning,!and!a!newly!formed!Community!Advisory!Council.!! The!Executive!Committee,!consisting!of!two!hospital!representatives,!three!primary! care!providers,!two!partnering!organizations,!and!two!resident!organizations,!is!selected!by! the!Board.!Its!officers!are!elected!from!among!the!members!of!the!Executive!Committee.! The!Executive!Committee!meets!monthly!to!review!the!finances!and!program!operations!of! CCHP!and!make!recommendations!to!the!Board!based!on!its!findings.! The!HIE!Committee!meets!every!other!month.!Its!members!include!Chief! Information!Officers,!attorneys,!IT!specialists,!and!data!privacy/security!personnel! representing!each!of!the!hospitals!that!participate!in!the!HIE.!The!HIE!Committee!is!open!to! all!HIE!participants.!It!is!responsible!for!developing!longKterm!plans!for!the!HIE!and!